Am I Suffering from Depression? the Signs and Seeking Help - Psychiatry

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Do I have depression?


When I was in the fourth grade, I was bullied by my close friend.
She inexplicably told other classmates to ignore me.
It was the first time I faced such a situation, and when I got home, I completely broke down.
I even thought about suicide, but then I would think about what would happen to my family.
So, I chose to self-harm whenever I had suicidal thoughts.
Doing this at least helped calm my emotions a bit.
Later on, I felt a little better and didn't think about dying as easily.
However, recently those thoughts have started again, and they have become more severe.
I began to think about how I should die, feeling that my family doesn't love me and that I am just an outsider.
I can get angry or cry over small things.
In the past, I would sleep soundly through the night, but now I wake up at certain times.
I also have symptoms of binge eating.
Before, listening to music could help soothe my feelings, but now I feel like I need to self-harm to cope.
I don't know if this is depression.
This issue has been troubling me since I was in fourth grade, but I have never dared to tell my family.
If it really is depression, do I need to see a doctor?

Meng Meng, 10~19 year old female. Ask Date: 2016/01/22

Dr. Liang Sunyuan reply Psychiatry


Meng Meng: You have a good understanding of your own situation.
The initial experience of relational bullying can be very difficult for a fourth-grade girl to endure, and it can be hard to comprehend why negative events happen to oneself.
However, as we grow older, we can choose the attitude we want to adopt towards past events.
Self-harm is often a way to distract from inner emptiness or pain, but it can eventually become a habit that is hard to break.
If we accept what has happened in the past, understand the injustices we have faced, and set a personal goal for our future that we are passionate about, we are more likely to leave those past grievances behind and focus our energy on achieving our goals and dreams.
Family members are usually our most trusted supporters and protectors, and during tough times, I believe most families are willing to lend a helping hand.
If your situation does not improve, it is advisable to seek medical attention.

Reply Date: 2016/01/22

More Info


It sounds like you are going through an incredibly difficult time, and I want to acknowledge the pain and confusion you are experiencing. Based on your description, it does seem that you may be suffering from depression, particularly given your history of bullying, self-harm, and the recurring thoughts of suicide. These are serious issues that deserve attention and care.

Depression is a mental health condition that can manifest in various ways, including persistent sadness, feelings of worthlessness, changes in sleep and appetite, and thoughts of self-harm or suicide. The fact that you have experienced these symptoms for an extended period, starting from a young age, suggests that this is not just a phase but something that requires professional help.

Self-harm, as you mentioned, is often a coping mechanism for emotional pain. While it may provide temporary relief, it does not address the underlying issues and can lead to further emotional distress. It's important to find healthier coping strategies and to talk to someone who can help you navigate these feelings.

You asked whether you should see a doctor if you suspect you have depression. The answer is a resounding yes. Seeking help from a mental health professional is crucial. A doctor or therapist can provide a safe space for you to express your feelings and thoughts without judgment. They can also help you understand your symptoms better and develop a treatment plan tailored to your needs. This may include therapy, medication, or a combination of both.

It's understandable to feel hesitant about discussing your feelings with your family, especially if you fear they may not understand or support you. However, mental health issues are common, and seeking help is a sign of strength, not weakness. If you feel comfortable, consider reaching out to a trusted adult, school counselor, or mental health professional who can guide you through this process.

Confidentiality is a key aspect of mental health treatment. Health professionals are bound by laws to keep your information private, so you can feel safe discussing your feelings and experiences without fear of it being shared without your consent.

In addition to professional help, there are some self-care strategies you can try to support your mental health. These include:
1. Journaling: Writing down your thoughts and feelings can help you process your emotions and gain clarity.

2. Mindfulness and Meditation: Practicing mindfulness can help you stay grounded and reduce anxiety.

3. Physical Activity: Engaging in regular exercise can boost your mood and overall well-being.

4. Connecting with Others: Reach out to friends or support groups where you can share your experiences and feel less alone.

5. Creative Outlets: Engaging in art, music, or other creative activities can provide an emotional release and help you express yourself.

Remember, you are not alone in this struggle, and there is help available. Taking the first step to seek help can be daunting, but it is a crucial move towards healing and finding a path to a more fulfilling life. You deserve support and care, and there is hope for a brighter future.

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